中国全科医学2017，Vol.20Issue(34)：4299-4303,5.DOI:10.3969/j.issn.1007-9572.2017.34.017
老年结核病患者自我健康管理评定量表的信效度研究
Reliability and Validity of Health Self-management Assessment Scale for Elderly Patients with Tuberculosis
摘要
Abstract
Objective To test the reliability and validity of the Health Self - management Assessment Scale for Elderly Patients with Tuberculosis. Methods We randomly selected 360 elderly patients aged 60 or above with tuberculosis in three communities which were randomly selected from Wuchang District,Hankou District,Hanyang District in Wuhan during September 2015 and September 2016. Then we used the part of health self - management assessment including knowledge (BK), attitude (BA),and behavior (BP)subscales from the Social Intervention Rating Scale for Elderly Patients with Tuberculosis developed by this research team previously to investigate the subjects. A total of 95. 6％ (344 / 360)of the subjects responding the survey effectively were selected as the final subjects. Fifty cases of them were randomly selected and retested two weeks later,and all of them (100. 0％)responded the retest effectively. The reliability for the scale was assessed based on the values of Cronbach′s α,split - half reliability,test - retest reliability,and responsiveness. The validity for the scale was assessed by the values of content validity,construct validity and discriminant validity. Results The value of Cronbach′s α for the scale was 0. 82,and that for the subscales ranged from 0. 78 to 0. 88. The value of split - half reliability for the scale was 0. 77,and it for the subscales ranged from 0. 72 to 0. 89. In the 50 cases who were surveyed for two times,notable differences were found between the two measurement scores of scale,and two measurement scores of subscales (all P < 0. 001);linear positive correlation was found between first as well as second measured scores of the scale and those of each of the subscales (value of r ranged from 0. 53 to 0. 84,P < 0. 001). For the 344 subjects,the scores of each of the three subscales had linear positive correlation with the scores of the scale (value of r ranged from 0. 63 to 0. 86,P < 0. 05);each subscale′s scores presented linear positive correlation with each of its dimensions' scores (value of r ranged from 0. 35 to 0. 89,P < 0. 05). A total of 16 common factors were extracted by factor analysis,which could explain 82. 74％ of the total variance for the scale,and 73. 09％ ～ 76. 79％ of the total variance for the three subscales. Scores of subscales of BK,BA,and BP,and the scale differed significantly between the first -treated and re - treated patients (P < 0. 05). Conclusion The Health Self - management Assessment Scale for Elderly Patients with Tuberculosis demonstrates good reliability and validity,so it can be used as an assessment tool for the studies associated with health self - management.关键词
结核/自我健康管理/老年人/信度/效度Key words
Tuberculosis/Health self-management/Aged/Reliability/Validity分类
医药卫生引用本文复制引用
谈迪心,许奕华,王斌,李绪辉,李檬妤,张丹丹,蔡晓楠,唐聪,张国良,严亚琼..老年结核病患者自我健康管理评定量表的信效度研究[J].中国全科医学,2017,20(34):4299-4303,5.基金项目
国家社会科学基金资助项目(15BSH118) （15BSH118）
